Individual
MS. JENNIFER NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
222 JEFFERSON BLVD, WARWICK, RI 02888-3847
(800) 370-3651
(877) 515-7147
Mailing address
55 HATCHETTS HILL RD, OLD LYME, CT 06371-1534
(800) 370-3651
(877) 515-7147
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00873
RI
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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